Jourdan Paige Thibodeaux, is a
Psychologist - Cognitive & Behavioral based in Universal City, California. Jourdan Paige Thibodeaux is licensed to practice in * (Not Available) (license number ) and her current practice location is
100 Universal City Plz, Universal City, California. She can be reached at her office (for appointments etc.) via phone at
(909) 246-7020.
NPI number for Jourdan Paige Thibodeaux is 1467161190 and her current mailing address is 1275 E Date St Apt 201, San Bernardino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467161190.
Healthcare Provider's Profile
| Full Name | Jourdan Paige Thibodeaux |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Cognitive & Behavioral |
|---|
| Location | 100 Universal City Plz, Universal City, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467161190
- Provider Enumeration Date: 11/21/2022
- Last Update Date: 11/21/2022
Medical Identifiers
Medical identifiers for Jourdan Paige Thibodeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467161190 | NPI | - | NPPES |
| 12385087 | Other | | KAISER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jourdan Paige Thibodeaux is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jourdan Paige Thibodeaux, 1275 E Date St Apt 201, San Bernardino, CA 92404-4202 Ph: (909) 246-7020 | Jourdan Paige Thibodeaux, 100 Universal City Plz, Universal City, CA 91608-1002 Ph: (909) 246-7020 |
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